Colours correspond to Class of Recommendation.*Atropine should not be given in patients after heart transplant.†In patients with drug toxicity and severe symptoms, preparation for pacing should proceed simultaneously with pharmacologic treatment of drug toxicity.AADs indicates antiarrhythmic drugs; AV, atrioventricular;BB, beta blocker; CCB, calcium channel blocker; COR, Class of Recommendation;ECG, electrocardiographic; H+P, history and physical examination; IMI, inferior […]
Heart blocks can be a sign of underlying pathology such as MI, Lyme disease, myocarditis, structural heart disease, pulmonary embolism, autoimmune disease, electrolyte disturbances, medication side effects, Lenegre’s or Lev’s disease, increased vagal tone, or could be a normal variant. Treatment with Atropine is indicated in bradycardic, symptomatic and/or unstable patients with a 1st or […]
ATROPINE Atropine administration should not interfere with cardiac pacing. If there is a favorable response to atropine, the conduction abnormality is likely in the AV node. However, if the escape rhythm is originating at or below the bundle of His, there is unlikely to be a response to atropine as the more distal conducting system […]
When the patient in front of you is sick, these are the three common and reversible causes of bradycardia that you need to recognize in the emergency setting that the standard ACLS trio of atropine, pacing, and adrenaline/dopamine does little or nothing to address them.